2018
Real-life LDL-C treatment goals achievement in patients with heterozygous familial hypercholesterolemia in the Czech Republic and Slovakia: Results of the PLANET registry
VRABLIK, Michal, Katarina RASLOVA, Branislav VOHNOUT, Vladimir BLAHA, Martin SATNY et. al.Základní údaje
Originální název
Real-life LDL-C treatment goals achievement in patients with heterozygous familial hypercholesterolemia in the Czech Republic and Slovakia: Results of the PLANET registry
Autoři
VRABLIK, Michal (203 Česká republika), Katarina RASLOVA (703 Slovensko), Branislav VOHNOUT (703 Slovensko), Vladimir BLAHA (203 Česká republika), Martin SATNY (203 Česká republika), Ondřej KYSELÁK (203 Česká republika), Martina VACLOVA (203 Česká republika), Robin URBANEK (203 Česká republika), Jana MASKOVA (203 Česká republika), Vladimír SOŠKA (203 Česká republika, domácí) a Tomáš FREIBERGER (203 Česká republika, garant, domácí)
Vydání
Atherosclerosis, Clare, ELSEVIER SCI IRELAND LTD, 2018, 0021-9150
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30230 Other clinical medicine subjects
Stát vydavatele
Irsko
Utajení
není předmětem státního či obchodního tajemství
Impakt faktor
Impact factor: 4.255
Kód RIV
RIV/00216224:14110/18:00105337
Organizační jednotka
Lékařská fakulta
UT WoS
000445908000054
Klíčová slova anglicky
Familial hypercholesterolemia; LDL-C goal attainment; Treatment pattern; LDL-Cholesterol; Statins; Ezetimibe
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 12. 3. 2019 16:03, Mgr. Pavla Foltynová, Ph.D.
Anotace
V originále
Background and aims: Despite the high prevalence of familial hypercholesterolemia (FH) and available effective lipid-lowering therapy, most of the individuals with this disorder remain undiagnosed and undertreated. The aim of the PLANET registry was to assess the real-life attainment of low-density lipoprotein cholesterol (LDL-C) therapeutic target level in patients with heterozygous FH, to characterize prescribed lipid-lowering therapy with assessment of its efficiency according to the attainment of the target LDL-C level, and to characterize cardiovascular events observed in this patient population again in relation to LDL-C target level attainment. Methods: PLANET registry was designed as a non-interventional, retrospective, cross-sectional, multicentre disease registry for adult patients with heterozygous FH in the Czech Republic and Slovakia. Results: Overall, 1755 patients were enrolled at 32 sites specialized in FH treatment. 15.4% of patients attained the target LDL-C value. The proportion of patients with LDL-C goal achievement increased to 17.3% in the subgroup of patients receiving high-intensity statin therapy (54.6% of study population). Out of 55 patients receiving inhibitors of proprotein convertase subtilisin/kexin type 9 (PCSK9), 61.8% reached the LDL-C treatment goal. Of all cardiovascular events reported, 14.0% occurred in patients attaining the LDL-C goal, while it was 86.0% in the not-at-target group. It was documented (p= 0.004) that the longer is the patient in care at the specialized FH centre, the higher is the probability that he/she will attain the target LDL-C level. Conclusions: Although target LDL-C level attainment remains relatively low, the likelihood of LDL-C goal attainment increases with duration of specialized care.